NPI | 1487053336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A161461) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 284415) |
207P00000X Emergency Medicine (Licence: WI 84378) | |
Enumeration Date | 2014-08-16 |
Last Update Date | 2025-09-22 |